Medical Claims Team Leader

3 days ago

Parramatta, Australia HCF - Member Service Full time
  • Parramatta, NSW (hybrid working available)
  • Full time, 12 months FTC
  • Hours Monday to Friday

About the Role

As Medical Claims Team Leader you will manage a team of Medical Claims assessors, building a culture of service excellence ensuring the team exceed service SLAs. You will provide direction, empower and motivate the team in order to achieve businesses unit, team and individual goals. This role is a 12 month, full time contract.

  • Monitor team and individual productivity through daily and monthly reporting
  • Manage and adjust team resources to meet KPI’s and SLAs
  • Staff performance (KPI’s) are reviewed on a monthly basis and appropriate feedback given in monthly 1:1s
  • Regular communication with staff which includes daily huddles and monthly communication meetings with documented agendas and minutes
  • Effective people management which includes recruiting, on-boarding, coaching, developing and mentoring team members
  • Ensure individual and team milestones are acknowledged and recognised and high / exceptional performance is rewarded
  • Multi-skilling of staff is encouraged and utilised across teams to meet SLAs
  • Assess and review claims in accordance with Fund Rules eliminating overpayments/unnecessary rejections

About You

To be successful in this role you will demonstrate:

  • Excellent people management skills with desire to learn and develop others
  • Sound knowledge of all automated and claims systems including ACMEII, WHICS, ECLIPSE, PreMac, MPPA, HPP/PA, Medicover 
  • Demonstrated commitment to service quality
  • Ability to demonstrate the understanding of HCF policies and procedures
  • Ability to work under pressure and lead by example
  • Excellent verbal and written communication skills
  • Ability to adapt positively to frequently changing work practices and needs
  • Sound organisational skills and ability to perform required tasks on a timely basis with minimal supervision

About HCF

At HCF, our purpose is to bring our human touch to healthcare. Since 1932 we’ve been putting our members and their health first. As Australia’s largest not-for-profit health fund, we cover over 1.9 million members with health, life, travel and pet insurance and our vision is to make healthcare understandable, affordable, high quality and member centric.

We want to be true health partners to our members, easily guiding the healthcare choices that are right for them. At HCF, our values are the way we do things and create the necessary culture to help us realise our purpose and deliver our 2025 Strategy. Living our values in action we step forward, walk in their shoes, stay human, make it better and get there together.

Culture & Benefits

Purpose-driven passion
At HCF, we’re united by a common purpose: to make healthcare affordable, understandable, high quality and member-focused.

Wellness and work-life balance
We’ll empower you with the necessary skills and tools to support your personal wellbeing journey, ensuring you perform at your best. Our offerings include:

  • 50% subsidy on HCF hospital and/or extras cover
  • 18 weeks of parental leave for all new parents
  • Mental health and wellbeing programs, including workshops, fitness classes, flu vaccinations, skin checks and more
  • Discounts on HCF’s products, including life, pet and travel insurance, as well as discounts at Fitness First gyms and on our Eyecare products.

Collaboration and inclusivity
We embrace diversity as our strength and are committed to maintaining an inclusive and collaborative work environment. Our workplace is welcoming and safe for all our employees, irrespective of their unique characteristics including age, ethnicity, cultural or spiritual background, gender identity, disability, education and socio-economic status.

Continuous learning and growth
We believe in lifelong learning. HCF provides opportunities for personal and professional development. From workshops to mentorship programs, we encourage your growth and curiosity.

Next steps

If you require any adjustments to assist you in making your application or during the recruitment or onboarding process, please reach out to Talent Acquisition – vacancy@hcf.com.au to discuss.

We encourage applicants to submit their applications at their earliest convenience, as at HCF, we review applications as they are submitted, and may have filled the role prior to the job closing date.

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